If you are experiencing any of these or develop a painful erection that lasts more than 4 hours, please get medical attention right away. Exercise can help with underlying conditions that play a part in erectile dysfunction in a number of ways, including reducing stress, helping you lose weight and increasing blood flow. In addition to your prepared questions, don’t hesitate to ask additional questions during your appointment. Are there any brochures or other printed material that I can take home with me? Take your partner along, if possible. Do you drink alcohol? What to expect from your doctor Your doctor is likely to ask you a number of questions. · But in many men with erectile dysfunction, this intricate system is out of balance, and sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis) often sets things right. The ED pills all inhibit PDE-5, increasing the supply of cGMP; in about 70% of men with ED, the extra cGMP will allow firm and sustainable erections to develop in. You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment. Vardenafil is used to treat . New Oral Agents for Erectile Dysfunction. by Laurence A. Levine, MD. Erectile dysfunction (ED) is a common and increasingly prevalent disorder. It affects an estimated 30 million men in the United States, and over , new cases are expected annually in men between the ages of 40 and